Blood

Alpha-Thalassemia

Also known as HbH disease, alpha-thal, hemoglobin H disease

Alpha-thalassemia results from deletions or mutations affecting one to four alpha-globin genes on chromosome 16, disrupting hemoglobin alpha-chain synthesis and causing a spectrum of disease from silent carrier state to hydrops fetalis. Hem

ORPHA:846 ↗Gene HBA1Gene HBA2Prevalence Carrier frequency up to 40% in endemic regions; HbH disease affects approximately 1 in 15,000 globallyOnset Birth to infancyAutosomal recessive

15

studies recruiting now

as of 7 Sept 2026

40

studies registered in total

as of 7 Sept 2026

12

countries with a recruiting site

as of 7 Sept 2026

8 Apr 2026

most recent study posted

among recruiting studies

Recruiting trials

Showing the 5 most recently updated recruiting studies, as recorded 7 Sept 2026. Live status on each study page.

See all 15 recruiting studies

Where recruiting studies are running

Countries with at least one recruiting site among the studies above, 7 Sept 2026. Tap a country to search trials there.

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Support

Patient organisations

Thalassemia International FederationPatient association
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About Alpha-Thalassemia

Alpha-thalassemia results from deletions or mutations affecting one to four alpha-globin genes on chromosome 16, disrupting hemoglobin alpha-chain synthesis and causing a spectrum of disease from silent carrier state to hydrops fetalis. Hemoglobin H disease (three-gene deletion) causes moderate to severe hemolytic anemia, while four-gene deletion (Hb Bart hydrops fetalis) is typically fatal without in utero intervention. The condition is most prevalent in Southeast Asia, sub-Saharan Africa, and the Mediterranean basin.

Common clinical features

Hemolytic anemia ranging from mild to severe depending on gene deletion countSplenomegaly and hepatomegalyJaundice and neonatal hyperbilirubinemiaPallor and chronic fatigueHemoglobin H inclusion bodies visible on supravital stainingCholelithiasis from chronic hemolysisGrowth delay in severe formsHydrops fetalis in four-gene deletion (Hb Bart)

From Orphanet’s phenotype annotations (CC BY 4.0). Not a complete list.

Treatments being studied

1 in clinical development, from Open Targets (CC BY 4.0). Not medical advice.

Phase 3Mitapivat

Before you apply

Things trial teams commonly ask about for Alpha-Thalassemia. Not eligibility rules; those are set by each study.

  • Specify your genotype precisely (number of deleted alpha-globin genes and any non-deletion mutations) as trials distinguish between HbH disease, Hb Bart, and carrier states.
  • Transfusion dependency status and splenectomy history are key eligibility criteria for emerging gene therapy trials targeting alpha-thalassemia.
  • Newborn screening results and hemoglobin electrophoresis or HPLC records help confirm diagnosis for registry enrollment and trial screening.

Related conditions

Information, not medical advice. Trial listings are shown as recorded on ClinicalTrials.gov; whether any study is right for you is a decision for you and your clinicians, and eligibility is decided by each research team. Disease information from Orphanet (CC BY 4.0).